Individual provider · Type 1 NPI

Lindsey Provencher, PCCI

Professional Counselor · Modesto, CA

NPI number 1306378906 Active

Practice location

707 14th St
Modesto, CA 95354-2506

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XPCCI2758 (CA)

Professional Counselor: Definition to come...

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About NPI 1306378906

Lindsey Provencher, PCCI's National Provider Identifier is 1306378906, issued on Apr 1, 2017. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Modesto, CA. The record was last updated on May 1, 2017.